Individual
SANDRA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
812 E JOLLY RD, SUITE 215, LANSING, MI 48910-6818
(517) 346-8394
Mailing address
3923 JONQUIL LN, OKEMOS, MI 48864-3731
(517) 285-3921
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014319
MI
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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